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NPI Code Detail

MEDICARE: ELEVATED MEDICAL SERVICES

MEDICARE: ELEVATED MEDICAL SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician
2363AM0700XMedical Physician Assistant
3363L00000XNurse Practitioner
4363A00000XPhysician Assistant

General Provider Information

NPI Number : 1740094887
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELEVATED MEDICAL SERVICES
Provider Business Mailing Address
First Line : 204 E FAIR OAKS PL
Second Line :
City : ALAMO HEIGHTS
State : TX
Zip : 78209-3811
Country : US
Telephone Number : 210-315-4601
Fax Number :
Provider Business Practice Location Address
First Line : 204 E FAIR OAKS PL
Second Line :
City : ALAMO HEIGHTS
State : TX
Zip : 78209-3811
Country : US
Telephone Number : 210-315-4601
Fax Number :
Authorized Official
Title or Position : PA-C
Name : JOHNATHAN PETERSON
Credential : PA-C
Telephone Number : 210-315-4601
Provider Enumeration Date : 02/06/2025
Last Update Date : 02/27/2025

Similar Medicare Providers

1568538742 — JOHNATHAN L. PETERSON PA-C
Practice Location Address:
204 E FAIR OAKS PL
SAN ANTONIO, TX
78209-3811
Practice Phone: 210-315-4601
Practice Fax:
1811999147 — MRS. DYANNA R MANA RN
Practice Location Address:
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10598-3811
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1053320200 — PAMELA GAIL WATSON LICSW
Practice Location Address:
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02879-3811
Practice Phone: 401-789-2664
Practice Fax:
1851059133 — DR. HASHEM ADNAN ACHKAR PHARMD
Practice Location Address:
7526 N GULLEY RD
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48127-3811
Practice Phone: 313-402-2521
Practice Fax:
1417729054 — PATRICIA HANSON
Practice Location Address:
12320 WOODWARD BLVD
GARFIELD HEIGHTS, OH
44125-3811
Practice Phone: 216-632-3621
Practice Fax:
1306686985 — ROSELINE TOMASITA RODRIGUEZ CD,RD
Practice Location Address:
6451 ROSEBURY DR
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Practice Phone: 937-242-5497
Practice Fax:

Directions to “ELEVATED MEDICAL SERVICES ” Practice Location

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